Posted By: Jenny Lee, D.D.S. | Tuesday, May 21, 2013

Our office offers a variety of periodontal or “cleaning” options dependent on your level of oral health. As a patient entering the practice, you will undergo a thorough examination at which time Dr. Cournot or Dr. Lee will diagnose the necessary treatment level to stabilize your gum or periodontal health.

Prophylaxis: This appointment is one hour in length, performed two times per year. Patients using this option have a history of effective bacterial plaque control and limited inflammation over a six month period.

Two Visit Therapy: This category of appointments is for the patient with an increased amount of bacterial plaque which has resulted in inflammation and infection of the gums. The first of two visits is one hour in length. Patient plaque removal strategies are developed, bacterial plaque is removed, and irrigation with anti-microbial solutions is used to increase tissue healing. The second or “reevaluation” visit occurs two weeks later and is also one hour in length. All areas of the mouth are reexamined for healing, home care strategies are evaluated and fine-tuned; persistent inflammation is retreated. Polishing occurs at this visit and a yearly maintenance routine is determined.

Three Visit Therapy: As the amount of inflammation and gum infection increases, it becomes necessary to treat the mouth in segments. At these appointments, the right side of the mouth is treated in a one hour appointment. The following week, the left side of the mouth is treated. At each visit, patient plaque removal strategies are developed, bacterial plaque is removed, and irrigation with anti-microbial solutions is used to increase tissue healing. The third or “reevaluation “visit occurs two weeks later. Polishing occurs at this visit and a yearly maintenance routine is determined.

Four Quadrant Scaling with One Month Post-op: This series of appointment are for the patient with a significant amount of bacterial plaque attached to the tooth above and under the gum line on the root surfaces. The patient usually requires anesthesia for comfort while Debra is removing the bacterial deposits. The root surfaces are a sensitive part of the tooth. As with all the varieties of appointments, home care strategies are developed, evaluated, and fine –tuned for  effectiveness within the patient’s daily life. The patient is given anti-microbial rinses to use daily during the treatment phase and home care are supplied. At the one month post-op visit, all areas of the mouth are evaluated. Significant reductions in inflammation, infection, and pocket shrinkage plus and effective home care routine is expected. Polishing occurs at this visit and a yearly maintenance routine is determined.